What is gum grafting?
Gum grafting is a periodontal procedure that restores gum tissue lost to recession by placing either the patient’s own connective tissue (typically harvested from the palate) or processed donor tissue at the affected site. Connective tissue grafting is the most common technique; pinhole surgical technique is a minimally-invasive option for selected cases. In Miller Class I and II recession, root coverage rates are often 90–100% in well-selected cases.
Why gums recede
Recession can result from aggressive brushing, anatomical factors (thin gum tissue), tooth position outside the bony envelope, periodontal disease, or trauma from orthodontic treatment. Once gum tissue is gone, it doesn’t grow back on its own.
Untreated recession progresses. The earlier we intervene, the easier the result and the better the long-term prognosis for the affected teeth.
Connective tissue grafting
The most common technique. We harvest a small piece of connective tissue from the roof of your mouth (or use processed donor tissue when appropriate) and place it under the gum at the recession site. Over the following weeks the tissue integrates and the gum line moves up to cover the exposed root. Highly predictable results in the right cases.
Pinhole surgical technique
A minimally-invasive option for selected cases. Through a small "pinhole" entry, we gently reposition the existing gum tissue over the exposed root and stabilize it with collagen membranes. No donor tissue, no scalpel sutures, faster recovery. Not appropriate for every case — we’ll discuss whether it’s right for yours.
Recovery
Discomfort is typically mild and well-controlled with over-the-counter medication. Soft diet for 7–10 days. Special care brushing the area for 4–6 weeks. We see you back at one week to check healing.
Common questions
Will I get full root coverage?
For Miller Class I and II recession (the most common), root coverage rates are excellent — often 90–100% in well-selected cases.
Does the donor site (palate) hurt?
It’s sore for a few days — like a pizza burn. We provide a custom palatal stent to protect the area and keep it comfortable.
Will the recession come back?
If the underlying cause (over-aggressive brushing, parafunctional habits, tooth position) is addressed, no. We’ll review your brushing technique and habits as part of treatment.